Total staff
181
Employees
44
Contractors
137
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Estates at Twin Rivers
Nursing Home · Ramsey, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Estates at Twin Rivers
Nursing Home · Ramsey, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Estates at Twin Rivers accepts Medicare, Medicaid, and private pay.
The Estates at Twin Rivers is a nursing home in Anoka, MN, offering long-term care, skilled nursing, and rehabilitation. Promoting a supportive and inviting environment, the community ensures older adults can live comfortably in retirement. 24-hour care, healthy meals, and therapies are among the exceptional services provided to enrich residents’ living experiences. Through a holistic approach to care, residents receive high-quality care to help them recover and return to their routines with ease.
Games, recreational activities, and exercises provide residents with more opportunities to try out new hobbies and make friends. Residents can also rest comfortably, with thoughtfully furnished, private, and semi-private rooms. Situated near bus stops, leisure sites, and parks in Anoka, the community ensures residents have easy access to their necessities and leisure. This nursing home has exceptional standards of care, making it a good option for senior living in Minnesota.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 75th out of 85 homes in Minnesota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 75th out of 85 homes in Minnesota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 49m per day
Rank #75 / 85Nurse hours — State benchmarkedThis home is ranked 75th out of 85 homes in Minnesota. Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 85 Minnesota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Minnesota avg
-20%
Standout metric
LPN / LVN is +73% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 61% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 4m per day | ▲ 73% State avg: 37m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ▼ 22% State avg: 2h 33m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▼ 16% State avg: 3h 41m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 59% State avg: 41m per day · National avg: 29m per day |
Types of Care at The Estates at Twin Rivers
Nursing Home
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
73.4%
Rank #210 / 328Occupancy rate — State benchmarkedThis home is ranked 210th out of 328 homes in Minnesota. Shows this facility's occupancy rate versus the Minnesota average, with its Statewide rank out of 328. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
70 days
Occupancy rate
73.4%
Rank #210 / 328Occupancy rate — State benchmarkedThis home is ranked 210th out of 328 homes in Minnesota. Shows this facility's occupancy rate versus the Minnesota average, with its Statewide rank out of 328. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
70 days
Walk Score: 76 / 100 Rank #71 / 633Walk Score — State benchmarkedThis home is ranked 71st out of 633 homes in Minnesota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Minnesota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
5.32:1
144% better than Minnesota average
Avg staff/day
21
Average shift
7.7 hours
0% compared with Minnesota average
Total staff hours (quarter)
14,915
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
72
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
17.2%
2,560 contractor hours this quarter
Certified Nursing Assistant: 53
Registered Nurse: 34
Licensed Practical Nurse: 17
Respiratory Therapy Technician: 7
Physical Therapy Assistant: 7
Speech Language Pathologist: 5
Medication Aide/Technician: 4
Physical Therapy Aide: 4
Qualified Social Worker: 4
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 53 | 72 | 5,955 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 5 | 17 | 22 | 2,874 | 92 | 100% | 9.7 |
| Registered Nurse | 6 | 34 | 40 | 1,301 | 80 | 87% | 7.3 |
| Medication Aide/Technician | 2 | 4 | 6 | 1,055 | 84 | 91% | 9.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 613 | 54 | 59% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 531 | 61 | 66% | 8.7 |
| Dental Services Staff | 1 | 0 | 1 | 506 | 54 | 59% | 9.4 |
| Nurse Practitioner | 3 | 0 | 3 | 479 | 61 | 66% | 7.6 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Speech Language Pathologist | 0 | 5 | 5 | 227 | 49 | 53% | 4.6 |
| Physical Therapy Aide | 0 | 4 | 4 | 224 | 59 | 64% | 3.7 |
| RN Director of Nursing | 1 | 0 | 1 | 193 | 27 | 29% | 7.1 |
| Physical Therapy Assistant | 0 | 7 | 7 | 160 | 46 | 50% | 3.4 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 157 | 47 | 51% | 3.3 |
| Qualified Social Worker | 0 | 4 | 4 | 104 | 27 | 29% | 3.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 31 | 10 | 11% | 3.1 |
| Medical Director | 0 | 1 | 1 | 27 | 3 | 3% | 9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 4 | 4% | 3.3 |
72 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
40 Registered Nurse
% of Days
87%
6 Medication Aide/Technician
% of Days
91%
4 Clinical Nurse Specialist
% of Days
59%
1 Other Dietary Services Staff
% of Days
66%
1 Dental Services Staff
% of Days
59%
3 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
67%
5 Speech Language Pathologist
% of Days
53%
4 Physical Therapy Aide
% of Days
64%
1 RN Director of Nursing
% of Days
29%
7 Physical Therapy Assistant
% of Days
50%
7 Respiratory Therapy Technician
% of Days
51%
4 Qualified Social Worker
% of Days
29%
1 Occupational Therapy Aide
% of Days
11%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
4%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
11% worse than Minnesota averageMinnesota average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
In line with Minnesota averageMinnesota average: 22.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
36% better than Minnesota averageMinnesota average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.8%
Percent of long-stay residents whose ability to move independently worsened
26.8%
13% worse than Minnesota averageMinnesota average: 23.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
18% worse than Minnesota averageMinnesota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
19% better than Minnesota averageMinnesota average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.9%
Percent of long-stay high risk residents with pressure ulcers
11.9%
118% worse than Minnesota averageMinnesota average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
90% worse than Minnesota averageMinnesota average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
99% worse than Minnesota averageMinnesota average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.8%
Percent of long-stay residents who have depressive symptoms
5.8%
33% worse than Minnesota averageMinnesota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.2%
Percent of long-stay residents who received an antipsychotic medication
20.2%
17% worse than Minnesota averageMinnesota average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
15% worse than Minnesota averageMinnesota average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
76.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
76.9%
20% worse than Minnesota averageMinnesota average: 96.0%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
34.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
34.8%
61% worse than Minnesota averageMinnesota average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Minnesota averageMinnesota average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
28.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
28.1%
66% worse than Minnesota averageMinnesota average: 82.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
34% worse than Minnesota averageMinnesota average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
41% better than Minnesota averageMinnesota average: 14.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Minnesota averageMinnesota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
28.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.6%
47% worse than Minnesota averageMinnesota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.5%
Rate of successful return to home or community from a skilled nursing facility.
50.5%
In line with Minnesota averageMinnesota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
57% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34
Medicare
3
8.8% of residents
Medicaid
24
70.6% of residents
Private pay or other
7
20.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Estates at Twin Rivers based on CMS SNF Cost Reports.
Occupancy Rate
73.4%
↑ 2.1pp vs 2022
Net Income
$156.8K
↑ ~$411.1K vs 2022
Total Payroll
$3.3M
↑ ~$41.5K vs 2022
Profit Margin
3.1%
↑ 8.3pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$5.4M
Profit
$156.8K
Privately-owned community
Home revenue
$5.4M Rank #73 / 85Revenue — State benchmarkedThis home is ranked 73rd out of 85 homes in Minnesota. Shows this facility's annual revenue compared to the Minnesota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$156.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 85Payroll — State benchmarkedThis home is ranked 74th out of 85 homes in Minnesota. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 85Payroll — State benchmarkedThis home is ranked 74th out of 85 homes in Minnesota. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Estates at Twin Rivers
0.6 miles from city center
Estimated distance in miles from Anoka's city center to The Estates at Twin Rivers's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Minnesota
The Estates at Twin Rivers is located in Anoka, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
Frequently Asked Questions about The Estates at Twin Rivers
What neighborhood is The Estates at Twin Rivers in?
The Estates at Twin Rivers is in the Anoka neighborhood.
Is The Estates at Twin Rivers in a walkable area?
The Estates at Twin Rivers has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the occupancy rate at The Estates at Twin Rivers?
The Estates at Twin Rivers's occupancy is 73.4%.
What is the best email address for The Estates at Twin Rivers?
The team at The Estates at Twin Rivers can be reached at [email protected].
What is the address of The Estates at Twin Rivers?
The Estates at Twin Rivers is located at 305 Fremont St, Anoka, MN 55303.
What is the phone number of The Estates at Twin Rivers?
(763) 421-5660 will put you in contact with the team at The Estates at Twin Rivers.
Is The Estates at Twin Rivers Medicare or Medicaid certified?
Yes — The Estates at Twin Rivers is a CMS-certified provider of Medicare and Medicaid.
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